Evidence map›Paper›PMID 22037799›Full record

ArticleJournal of neuro-oncology2012

Valproic acid sensitizes human glioma cells for temozolomide and γ-radiation.

Krista A Van Nifterik, Jaap Van den Berg, Ben J Slotman, M Vincent M Lafleur, Peter Sminia, Lukas J A Stalpers

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01861990 (Valproic Acid for Children With Recurrent and Progressive Brain Tumors), which is not on this map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01861990 phase1withdrawnnot on this mapstarted 2013, after this paper: background citation

Valproic Acid for Children With Recurrent and Progressive Brain Tumors

TypeinterventionalSponsorMedical University of South CarolinaRan2013 to 2013Enrolled0ConditionsPediatric Brain Tumor, Glioma, Anaplastic Astrocytoma, MedulloblastomaArmsValproic Acid
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 101 citations in OpenAlex.

  1. Trial
  2. The molecular landscape of glioblastoma-associated epilepsy.Journal of molecular medicine (Berlin, Germany) · 2025
    Review
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  4. Article
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  6. Epilepsy in Patients with Gliomas.Neurologia medico-chirurgica · 2024
    Review
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  8. Article
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Krista A Van NifterikDepartment of Radiation Oncology, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.
Jaap Van den Berg
Ben J Slotman
M Vincent M Lafleur
Peter Sminia
Lukas J A Stalpers
Amsterdam UMC Location VUmc · NLAcademic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Temozolomide (TMZ) is given in addition to radiotherapy in glioma patients, but its interaction with the commonly prescribed antiepileptic drug valproic acid (VPA) is largely unknown. Induction of DNA demethylation by VPA could potentially induce expression of the O(6)-methylguanine-DNA-methyltransferase (MGMT) protein, causing resistance to TMZ and thereby antagonizing its effect. Therefore, this study investigates the interaction between VPA, TMZ, and γ-radiation. Two glioma cell lines were used that differ in TMZ sensitivity caused by the absence (D384) or presence (T98) of the MGMT protein. VPA was administered before (24/48 h) or after (24 h) single doses of γ-radiation; or, after 24 h, VPA treatment was accompanied by a single dose of TMZ for another 24 h. For trimodal treatment the combination of VPA and TMZ was followed by single doses of γ-radiation. In both cell lines VPA caused enhancement of the radiation response after preincubation (DMF(0.2) 1.4 and 1.5) but not after postirradiation (DMF(0.2) 1.1 and 1.0). The combination of VPA and TMZ caused enhanced cytotoxicity (DMF(0.2) 1.7) in both the TMZ-sensitive cell line (D384) and the TMZ-resistant cell line (T98). The combination of VPA and TMZ caused a significant radiation enhancement (DMF(0.2) 1.9 and 1.6) that was slightly more effective than that of VPA alone. VPA does not antagonize the cytotoxic effects of TMZ. Preincubation with VPA enhances the effect of both γ-radiation and TMZ, in both a TMZ-sensitive and a TMZ-resistant human glioma cell line. VPA combined with TMZ may lead to further enhancement of the radiation response.

Indexed as

Gamma RaysAnticonvulsantsAntineoplastic Agents, AlkylatingBrain NeoplasmsCell ProliferationDacarbazineGliomaHumansRadiation-Sensitizing AgentsRadiation ToleranceTemozolomideTumor Cells, CulturedTumor Stem Cell AssayValproic AcidAnticonvulsantsAntineoplastic Agents, AlkylatingDacarbazineRadiation-Sensitizing AgentsTemozolomideValproic Acid

Identifiers

PMID22037799
OpenAlexW2138215811

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.